Nicole Diane Liggett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000498 Issued in PA

Practice address

4960 William Flynn Hwy
Allison Park, PA 15101-2354

Phone

(724) 443-5060

Fax

(724) 443-5066

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Diane Bosak Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicole D Bosak OD IncGroup PAC ID 9739241142, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nicole D Bosak OD Inc

  • Eyewear Supplier
  • Allison Park, PA
  • NPI 1881855211
  Medicare reassignment Care Compare group Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1154405447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 WILLIAM FLYNN HWY",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012354",
            "telephone_number": "724-443-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 WILLIAM FLYNN HWY",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012354",
            "telephone_number": "724-443-5060",
            "fax_number": "724-443-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGGETT",
        "first_name": "NICOLE",
        "middle_name": "DIANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017950800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BOSAK",
            "middle_name": "DIANE",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Thomas Lawrence, D.C.
• Deborah Yih-En Lee, DPT
• Judith B Leininger, MED LPC
• Carling D Lellock, PA-C
• Ryan V Lenz, PHD
• Rizalina Yu Lim-Co, MD
• Aaron Linn
• Andrea Marie Lott, RPH
• Eugenie Louis-Pierre, CRNP
• Gregory Lydon, PT, DPT

• Optometrist in Allison Park, PA
• Providers in Allison Park, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.